Member requesting to leave Humana before the plan effective date
What is....
A cancellation request
100
Member Requests to leave Humana after the plan effective date.
What is...
Disenrollment Request
100
Located on the bottom Right Corner of Citrix XenApp
What is...
PBS-Prod
100
PAPI
What is...
Member Package Inquiry
100
"Issue/Concern: Whether new plan selection is active
Requested/Expected Outcome: Verify coverage did not term on 08/30/2014
CCS Actions Taken: Verified eligibility in CCP
Advised Caller: Member has an active PFFS MAPD plan effective 1/1/2014"
What is...
Inquiry Driver Code: Other/None
Category: Eligibility
Reason: Effective Date
Disposition: Effective Date Communicated
200
"We are sorry to hear you want to cancel the plan".
"Humana is cancelling the plan".
"You can re-enroll in to another carriers plan of your choice or return to original Medicare".
What is.....
What we MUST tell the caller when a cancellation is allowed.
200
Mailing a disenrollment letter to: Humana, PO Box 14168, Lexington KY, 40512-4168
Faxing a disenrollment request to: (800) 633-8188
What are...
The two ways a member can disenroll from Humana.
200
Premium Billing System
What is...
Definition of PBS
200
PATR
What is...
Enrollment Task Request
200
"Issue/Concern: Member lost coupon book
Requested/Expected Outcome: Reorder Coupon Book
CCS Actions Taken: Verified mailing address and requested coupon book in eBilling
Advised Caller: A replacement book was ordered and ETA"
What is...
Inquiry Driver Code: Other/None
Category: Billing Direct Bill
Reason: Coupon Book Status
Disposition: Not Received/Reordered
300
Service Center: Louisville
Department: LEBECAS Disenrollment
Team: ZCANC
What is.....
Where we send the request to cancel a Humana plan.
300
Hum Enrl Src & Enrollment Source
What are...
Fields in PAIG that will indicate if a member was auto- assigned.
300
Links to the window "view CB history" if the member has CB as bill method.
What is....
View Coupon Book Icon
300
IPBD
What is...
Individual Arrangement Benefit
300
"Issue/Concern: Premium rate increase
Requested/Expected Outcome: Verify when premium rate changed
CCS Actions Taken: Accessed CCP
Advised Caller: Premium rate increased in Jan from $39.40 to $44.10"
What is...
Inquiry Driver Code: Other/None
Category: Billing Direct Bill
Reason: Premium Rate Change
Disposition: Info Given
400
C: Disenrollment/Cancellation
R: MA/MAPD Cancellation or PDP Cancellation
D: Sent to disenrollment
What is.....
CRDs for a Cancellation request
400
Service Center: Louisville
Department: LBECAS Disenrollment
Team: PDP Opt Out
What is... The Serv, Dept, & Team we transfer an inquiry to when a member requests to "Opts out" of the auto-assigned pool.
400
Coupon Book History, Remit Address, and Coupons
What is.....
Important fields used by CCS on the View Coupon Book History Screen.
400
GPAD
What is...
Maintain Payment Method
400
"Issue/Concern: Not happy with new carrier
Requested/Expected Outcome: Wants to return to Humana plan
CCS Actions Taken: determined next available election period in CCP via election lock in template
Advised Caller: No election available and provided next available period"
What is...
Inquiry Driver Code: Other/None
Category: Cancellation
Reason: PDP Disenrollment
Disposition: No Election Available
500
30days for Med Supp Policy
What is....
Med Supp Free-Look Period
500
Member or POA (except for POA O)
What is....
Entities that can request/Submit for disenrollment.
500
Bill Profile Maintenance, Collection Activity Summary, Comments Summary/ Maintenance, Cash Summary, and Group Activity Summary.
What is....
Commonly referenced PBS windows for Medicare B&E CCSs
500
EPEN
What is...
Auto Enrollment Pend Combined Screen
500
"Issue/Concern: Has not received ID card
Requested/Expected Outcome: Wants to order ID cards
CCS Actions Taken: Verified term status in CCP and CI. Transferred inquiry to 2010 tank
Advised Caller: an inquiry will be sent to the Enrollment Support Team for further research and she will receive a callback within three business days. "
What is....
Inquiry Driver Code: Other/None
Category: Enrollment
Reason: PDP Enrollment
Disposition: Sent to Enrollment